Individual
TASHA MICHELLE HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
3247 NE HIGHWAY 54, GUYMON, OK 73942-5143
(580) 338-0072
(580) 338-0077
Mailing address
PO BOX 564, GOODWELL, OK 73939-0564
(719) 332-8942
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
116758
OK
363LF0000X
Family Nurse Practitioner
Primary
116758
OK
Other
Enumeration date
07/29/2020
Last updated
11/25/2020
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